Care Manager

Envision Unlimited•Tinley Park, IL

About The Position

Care Managers coordinate care and services for clients transitioning from nursing homes and long-term care facilities to the community. They demonstrate leadership and accountability in managing pre- and post-transition activities, navigating system and individual-level changes, communicating clearly with interdisciplinary teams, clients, supports, and providers, and advocating for clients and resolving conflicts. Care Managers develop and update comprehensive, person-centered service plans, monitor and implement those plans, and respond to clients’ needs and preferences. They educate clients on topics identified in service plans, coordinate with providers and other supports, facilitate discharge and community transitions, and monitor clients after discharge. The role also includes helping clients build independent living skills and supporting their access to housing, health care, benefits, and other needed services.

Requirements

Master’s degree in social work, psychology, counseling, or a related field.
Three years of experience working with clients who have serious and persistent mental illness, substance use disorders, and/or medically complex needs.

Nice To Haves

Bilingual in Spanish and English preferred.
LCSW or LCPC preferred.

Responsibilities

Develop an initial comprehensive, person-centered service plan for each client and update it periodically.
Monitor and implement service plans, assessing clients’ status, needs, and preferences and making changes when appropriate.
Educate clients on service-plan topics such as medication management, healthy lifestyles, psychosocial needs, and self-management skills.
Collaborate with clients, interdisciplinary team members, providers, health plans, and other supports to ensure service plans are followed.
Link clients to needed treatment, including substance use treatment, trauma treatment, and individual therapy.
Facilitate discharge planning with clients, facility staff, Medicaid Managed Care health plan care coordinators, family members or guardians, and other key stakeholders.
Provide brief, supportive, goal-directed counseling to clients experiencing difficulty or ambivalence about making choices.
Assist clients in obtaining new living arrangements, including accompanying them on apartment searches.
Facilitate moves to the community, including helping purchase household items, arranging transportation, setting up utilities, and applying for SNAP benefits and transportation assistance.
Serve as liaison to clients’ managed care companies to ensure services and medications are authorized.
Facilitate and attend medical and psychiatric appointments as needed.
Provide post-discharge monitoring in clients’ homes.
Implement strategies to help clients improve or achieve independent living skills.
Engage in ongoing learning and professional development and seek appropriate certifications as needed.